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COUPONS
Membership Type *	1 month membership to Veronica's Pixels ($9.00) 1 month access to Veronica's Pixels Sigtag Club 3 months membership to Veronica's Pixels ($15.00) 3 months access to Veronica's Pixels Sigtag Club 6 months membership to Veronica's Pixels ($25.00) 6 months access to Veronica's Pixels Sigtag Club 12 months membership to Veronica's Pixels ($35.00) 12 months access to Veronica's Pixels Sigtag Club Lifetime membership to Veronica's Pixels ($70.00) Access to Veronica's Pixels Sigtag Club for lifetime only 3 out of 5 available Tube License ($10.00) This license entitles you to tube the outlines from Veronica's Pixels. This is a lifetime tube license, and does not include membership.
Payment System *	PayPal Paypal or secure credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Enter Verification Text * Please type text from image
Paypal Email * Please enter your paypal e-mail address here.
Website Name * Please enter your website name if you have one, if none enter none.
Website Url * Please enter your website url here. If none enter none.
Name for Tags * Please enter the name you would like on your tags here.
Hair Colour * Please put your hair colour here for doll tags.
Eye Colour * Please enter your eye colour here. This is used for doll tags.
Enter coupon code if you get any coupon code from advertising, please enter it here